Davis, Stephen E

Davis, Stephen E is an individual health care provider with primary practice located at 4 Deerwood Ave Nw , Wadena MN 56482-1253. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Davis, Stephen E can be contacted via phone (218) 631-1360.

Contact Information

Primary practice address
4 Deerwood Ave Nw Wadena MN 56482-1253
Phone: (218) 631-1360
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 33510 Minnesota

Profile Details

NPI number 1699882001
LBN Legal business name Davis, Stephen E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Jun 1st, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699882001 NPPES
Minnesota MEDICAID 867203200

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